Surgical treatment and prognosis in patients with intestinal metastases originated from advanced epithelial ovarian cancer
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By
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Hongxia Wang
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Yijie Li
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Zhifen Yang
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Jinxiu Wang
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Kaiyun Qin
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Yu Yu
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Na Wang
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Jingde Jia
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Wenhong Zhao
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Fenghua Zhang
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Mario M. Leitao
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Ran Meng
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Yueping Liu
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Yan Ding
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Zhengmao Zhang
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June 15, 2026
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Clinical Scorecard: Surgical Interventions and Outcomes for Patients with Intestinal Metastases from Advanced Epithelial Ovarian Cancer
At a Glance
| Category | Detail |
|---|
| Condition | |
| Key Mechanisms | Maximal cytoreductive surgery and bowel integrity preservation (source needed) |
| Target Population | Patients with FIGO stage III or IV epithelial ovarian cancer (source needed) |
| Care Setting | |
Key Highlights
- R0 resection rate of 75.4% in the cohort study (source needed)
- Lower incidence of intraoperative complications in the bowel tumor stripping group (source needed)
- 5-year overall survival rates similar between bowel resection and tumor stripping groups (source needed)
- 5-year progression-free survival significantly higher in the bowel resection group (source needed)
Guideline-Based Recommendations
Diagnosis
- Pathological confirmation of intestinal metastases required (source needed)
Management
- Individualized surgical strategy based on intraoperative findings (source needed)
Monitoring & Follow-up
- Postoperative follow-up for complications and survival outcomes (source needed)
Risks
- Potential for postoperative complications such as perforation, acute peritonitis, and fistula (source needed)
Patient & Prescribing Data
255 patients with advanced epithelial ovarian cancer and intestinal metastases
Surgical options include bowel resection and tumor stripping based on tumor invasion
Clinical Best Practices
- Preoperative bowel preparation is recommended (source needed)
- Counsel patients regarding the possibility of bowel resection and stoma creation (source needed)
- Aim for no macroscopic residual disease or residual lesions smaller than 1 cm (source needed)
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